{"id":1088,"date":"2023-08-14T07:52:15","date_gmt":"2023-08-14T07:52:15","guid":{"rendered":"https:\/\/new.vwdtest.com\/se\/?page_id=1088"},"modified":"2025-09-26T12:23:35","modified_gmt":"2025-09-26T12:23:35","slug":"vwd-and-gynaecology-obstetrics","status":"publish","type":"page","link":"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/","title":{"rendered":"VWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO"},"content":{"rendered":"
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Procjenjuje se da su poreme\u0107aji krvarenja, uklju\u010duju\u0107i von Willebrandovu bolest (VWD)<\/a>, uzrok obilnog menstrualnog krvarenja (HMB) kod jedne od pet \u017eena s ovim stanjem.1 <\/sup>Poreme\u0107aji krvarenja uz to su i glavni faktor rizika od prekomernog krvarenja tokom i nakon poro\u0111aja. Uprkos ulozi poreme\u0107aja krvarenja kao uzroka prekomernog vaginalnog krvarenja i \u010dinjenici da je VWD naj\u010de\u0161\u0107i poreme\u0107aj krvarenja, samo se deo \u017eena s prekomernim vaginalnim krvarenjem testira na VWD.2<\/sup> <\/h5>\n<\/div>\n\n\"VWD\r\n\n\n
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Zbog nedovoljne informisanosti, VWD \u010desto bude nedijagnostikovan ili se dijagnoza postavlja prekasno. Bez dijagnoze i le\u010denja te \u017eene mogu do\u017eiveti te\u0161ke fizi\u010dke i psihi\u010dke posedice HMB-a, uklju\u010duju\u0107i umor, anemiju, anksioznost i depresiju.1<\/sup><\/p>\n<\/div>\n\n

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Uloga ginekologa i aku\u0161era<\/h3>\n<\/div>\n\n
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Gotovo sve \u017eene s VWD-om u reproduktivnom periodu imaju prekomerno vaginalno krvarenje.3<\/sup> \u0160tavi\u0161e, obilne menstruacije \u010desto su prvi istaknuti simptom krvarenja kad devojke s VWD-om ulaze u pubertet. Kao ginekolog ili aku\u0161er, \u010desto prvi pru\u017eate zdravstvenu negu o kojoj devojke ili njihovi roditelji razgovaraju u vezi sklonosti ka obilnom krvarenju. Stoga savetovanje s vama predstavlja prvu priliku za pomo\u0107 u prepoznavanju pacijenata kojima bi mogla koristiti dijagnosti\u010dka analiza poreme\u0107aja krvarenja. Ovo je posebno va\u017eno u dru\u0161tvima koja stigmatiziraju vaginalno krvarenje ili za pacijentkinje koje su prestale da reaguju na obilne menstruacije i mogu se ose\u0107ati zanemarenim ili neshva\u0107enim.2<\/sup> \u0160tavi\u0161e, s obzirom na to da su poreme\u0107aji krvarenja kao \u0161to je VWD nasledna stanja, dijagnoza VWD-a \u010desto poma\u017ee u identifikovanju drugih \u010dlanova porodice koji su izlo\u017eeni riziku.<\/p>\n<\/div>\n\n

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Iako je pove\u0107ana svest me\u0111u pru\u017eaocima zdravstvenih usluga i pacijentima najva\u017eniji korak u prepoznavanju pacijenata kod kojih postoji rizik krvarenja, dijagnostikovanje VWD-a je i dalje te\u017eak zadatak zbog slo\u017eenosti dijagnosti\u010dkog procesa. 2<\/sup> Ako je va\u0161a pacijentkinja nedavno imala prekomerno vaginalno krvarenje, savetujemo vam da je zamolite da dokumentuje svoju menstruaciju pomo\u0107u na\u0161e tablice za procenu menstruacije<\/a>. Tako\u0111e joj mo\u017eete predlo\u017eiti da zajedno uradite na\u0161 test krvarenja<\/a>. Ovaj test \u0107e vam pomo\u0107i u dono\u0161enju prve odluke o tome da li su potrebne dalje analize, a pacijentkinji bi mogao promeniti \u017eivot!<\/p>\n<\/div>\n\n

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Postoji vi\u0161e opcija le\u010denja za \u017eene s VWD-om i HMB-om, a dostupne su i smernice za le\u010denje HMB-a uzrokovanog VWD-om.4<\/sup> Terapija treba biti individualna, uzimaju\u0107i u obzir faktore kao \u0161to su starost, na\u010din \u017eivota, \u017eelja za trudno\u0107om i druge \u017eelje pacijentkinje. Va\u017eno je napomenuti da su neke terapije, npr. kontracepcijska sredstva, \u010desto efikasne u kontroli HMB-a, ali ne\u0107e za\u0161tititi pacijentkinje s VWD-om od krvarenja nakon traume, nezgode ili tokom hirur\u0161kog zahvata<\/a> pa je zato klju\u010dna potpuna dijagnoza. \u0160tavi\u0161e, prekomerno vaginalno krvarenje \u010desto za posledicu ima stigmatizaciju i odbacivanje. Kad se tome pridodaju ograni\u010denja u svakodnevnom \u017eivotu, fizi\u010dkim aktivnostima i dru\u0161tvenim interakcijama zbog HMB-a, ovaj nedostatak prepoznavanja mo\u017ee predstavljati te\u0161ko psiholo\u0161ko optere\u0107enje<\/a> za va\u0161e pacijentkinje.5,6<\/sup> Bez dovoljne socijalne podr\u0161ke, kod pacijentkinja s VWD-om mogu se razviti \u010dak i anksioznost i depresija.<\/p>\n<\/div>\n\n

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\u017dena s VWD-om mo\u017ee imati uspe\u0161nu trudno\u0107u<\/a> i roditi zdravo dete. Me\u0111utim, bez dijagnoze i le\u010denja mo\u017ee do\u0107i do prekomernog krvarenja tokom i nakon poro\u0111aja. Stoga su pa\u017eljivo planiranje i pra\u0107enje klju\u010dni kako bi se osigurao normalan poro\u0111aj. Kad god je to mogu\u0107e, treba porazgovarati o trudno\u0107i i poro\u0111aju, a tako\u0111e ih treba dovoljno unapred isplanirati u saradnji s multidisciplinarnim timom koji uklju\u010duje i specijalistu hematologa u centru za le\u010denje.<\/a>8,9<\/sup> VWDtest pru\u017ea i dodatne informacije o etiologiji<\/a>, dijagnostikovanju <\/a>i le\u010denju VWD-a<\/a>, kao i uvid u tipi\u010dan put<\/a> pacijenta s VWD-om.<\/p>\n<\/div>\n\n

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Literatura<\/h6>\n<\/div>\n\n
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  1. Kadir RA i sur. Lancet<\/em>1998; 351:485-9.<\/li>\n<\/div>\n\n
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  2. Corrales-Medina FF i sur. Blood Rev<\/em><\/a> 2023.; 58: 101018.<\/li>\n<\/div>\n\n
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  3. de Wee EM, et al. Thromb Haemost<\/em> 2012; 108: 683-92.<\/li>\n<\/div>\n\n
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  4. Connell NT i sur. Oglas krvi<\/em> 2021.; 5:301-25.<\/li>\n<\/div>\n\n
    \n
  5. VanderMeulen H, et al. Hematology Am Soc Hematol Educ Program<\/em> 2022 1: 631-6.<\/li>\n<\/div>\n\n
    \n
  6. Sanigorska A, et al. Res Pract Thromb Haemost<\/em> 2022; 6:e12652.<\/li>\n<\/div>\n\n
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  7. Roberts JC, et al. Hemofilija<\/em>2022; doi: 10.1111\/hae.14725.<\/li>\n<\/div>\n\n
    \n
  8. Leebeek FWG, et al. Krv<\/em>2020; 136: 2143-50.<\/li>\n<\/div>\n\n
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  9. Janbain M i Kouides P Int J Womens Health<\/em> 2022.; 14:1307-13.<\/li>\n<\/div><\/ol>\n<\/div>","protected":false},"excerpt":{"rendered":"

    Procjenjuje se da su poreme\u0107aji krvarenja, uklju\u010duju\u0107i von Willebrandovu bolest (VWD), uzrok obilnog menstrualnog krvarenja (HMB) kod jedne od pet \u017eena s ovim stanjem.1 Poreme\u0107aji krvarenja uz to su i glavni faktor rizika od prekomernog krvarenja tokom i nakon poro\u0111aja. Uprkos ulozi poreme\u0107aja krvarenja kao uzroka prekomernog vaginalnog krvarenja i \u010dinjenici da je VWD naj\u010de\u0161\u0107i […]<\/p>\n","protected":false},"author":1,"featured_media":1096,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"yoast_head":"\nVWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO - Serbia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"VWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO - Serbia\" \/>\n<meta property=\"og:description\" content=\"Procjenjuje se da su poreme\u0107aji krvarenja, uklju\u010duju\u0107i von Willebrandovu bolest (VWD), uzrok obilnog menstrualnog krvarenja (HMB) kod jedne od pet \u017eena s ovim stanjem.1 Poreme\u0107aji krvarenja uz to su i glavni faktor rizika od prekomernog krvarenja tokom i nakon poro\u0111aja. Uprkos ulozi poreme\u0107aja krvarenja kao uzroka prekomernog vaginalnog krvarenja i \u010dinjenici da je VWD naj\u010de\u0161\u0107i […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/\" \/>\n<meta property=\"og:site_name\" content=\"Serbia\" \/>\n<meta property=\"article:modified_time\" content=\"2025-09-26T12:23:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vwdtest.com\/rs\/wp-content\/uploads\/sites\/57\/2023\/08\/gynaecology-img.png\" \/>\n\t<meta property=\"og:image:width\" content=\"611\" \/>\n\t<meta property=\"og:image:height\" content=\"904\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/\",\"url\":\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/\",\"name\":\"VWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO - Serbia\",\"isPartOf\":{\"@id\":\"https:\/\/vwdtest.com\/rs\/#website\"},\"datePublished\":\"2023-08-14T07:52:15+00:00\",\"dateModified\":\"2025-09-26T12:23:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/vwdtest.com\/rs\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"VWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/vwdtest.com\/rs\/#website\",\"url\":\"https:\/\/vwdtest.com\/rs\/\",\"name\":\"Serbia\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/vwdtest.com\/rs\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"VWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO - Serbia","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/vwdtest.com\/rs\/vwd-and-gynaecology-obstetrics\/","og_locale":"en_US","og_type":"article","og_title":"VWD I GINEKOLOGIJA \/ AKU\u0160ERSTVO - Serbia","og_description":"Procjenjuje se da su poreme\u0107aji krvarenja, uklju\u010duju\u0107i von Willebrandovu bolest (VWD), uzrok obilnog menstrualnog krvarenja (HMB) kod jedne od pet \u017eena s ovim stanjem.1 Poreme\u0107aji krvarenja uz to su i glavni faktor rizika od prekomernog krvarenja tokom i nakon poro\u0111aja. 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